Article Text

Download PDFPDF
Floating abscess in the inferior vena cava
  1. Shogo Shirota1,2,
  2. Satoshi Yoshikawa2
  1. 1 General Internal Medicine, Kobe City Medical Center General Hospital, Kobe, Japan
  2. 2 Emergency and General Internal Medicine, Rakuwakai Marutamachi Hospital, Kyoto, Japan
  1. Correspondence to Dr Shogo Shirota, General Internal Medicine, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan; fanshawe365{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 92-year-old woman presented to the emergency department with fever. She had no relevant medical history. On physical examination, the abdomen was soft and non-tender. Contrast-enhanced abdominal CT scan revealed a caudate lobe liver abscess with rupture into the retroperitoneal cavity (figure 1). Blood culture was positive for Klebsiella pneumoniae. Fever persisted even after the administration of intravenous antibiotics and percutaneous drainage, and CT re-examination showed no remote abscess but a new filling defect in the inferior vena cava (IVC) (figure 2A), suggesting a thrombus. However, X-ray fluoroscopy revealed a floating mass filled with contrast material, indicating an abscess extending …

View Full Text


  • Contributors All authors treated the patient and prepared the manuscript, primarily written by SS. Performed the percutaneous drainage and supervised the workup: SY.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.